Presentation:

  • Often remain asymptomatic until they grow large enough to affect neighboring structures
  • Ciliary body melanomas are often large when they present
  • Frequently have a sentinel vessel overlying
  • Often have unilateral low IOP compared to fellow healthy eye
  • Can present with anterior displacement of lens-iris diaphragm and secondary angle closure glaucoma
  • Growth of the melanoma may induce lenticular astigmatism or cataract
  • Erosion of the tumor into blood vessels in adjacent tissues can cause hyphema or vitreous hemorrhage